• The Journal of Korean Society for Radiation Therapy
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• v.26 no.2
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• pp.345-354
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• 2014

Purpose : We evaluated the usefulness of $Fraxion^{(R)}$ system and s-thermoplastic mask by analyzing setup error when stereotactic radiousurgery (SRS) was treated for brain metastasis. Materials and Methods : 6 patients who received definite diagnosis as brain metastasis between May 2014 and October 2014 were selected. 3 patients were immobilized s-thermoplastic mask and mouthpiece (group1), while $Fraxion^{(R)}$ system was used for the other 3 patients (group2). Cone Beam Computerized Tomography (CBCT) scan was acquired to register planning CT scan. The registration offset was compared for each group. We compared and reported the errors using maximum, minimum, mean, and standard deviation of registration offsets. Furthermore, We used the same method as patient specific quality assurance to verify absorbed dose of PTV. Results : The setup error which is registration offset was reduced 83% in x, 40% in y, and 92% in z-direction when $Fraxion^{(R)}$ system was used compared to the case of using s-thermoplastic mask and mouthpiece. In addition, using $Fraxion^{(R)}$ system showed improved results in rotational components, pitch (rotation along x-axis), roll (y), and yaw (z) which were reduced 64, 88, and 87% respectively compared to the case of using s-thermoplastic mask and mouthpiece. In dosimetry results, when s-thermoplastic mask and mouthpiece used, absorbed dose was reduce 83% compared to before and after registration. However, using $Fraxion^{(R)}$ system showed only 1.9%. All percentage were calculated with respect to average value. Conclusion : Using $Fraxion^{(R)}$ system including mouthpiece, Fraxion frame, frontpiece, and thermoplastic mask, showed better repeatability and precision compared to using s-thermoplastic mask and mouthpiece, which is consequently considered as more improved immobilization system.

• Journal of the Korean Society for Aeronautical & Space Sciences
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• v.43 no.12
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• pp.1108-1115
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• 2015

In this study, correlation equations were arranged about mass flow rates of oxygen and volume flow rates of helium using a mouthpiece method. The mouthpiece method can reduce examination cost by using similar empirical formula. Instead of liquid oxygen, in the mouthpiece method, gas helium can be measured in order to determine the leakage amount of liquid oxygen conveniently. Experiment was conducted and compared to understand leakage amount relation between the helium and the oxygen for prototype item under a room and a cryogenic temperature conditions. The leakage volume flow rate [$A.m{\ell}/s$] of the helium was 174 times higher than mass flow rate [g/s] of the oxygen leakage at liquid state. The derived correlation equations were verified using data from the National Institute of Standards and Technology (NIST).

• The Journal of Korean Institute of Communications and Information Sciences
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• v.35 no.3C
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• pp.295-301
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• 2010

In this paper, we propose a new mouthpiece model for the electronic wind instrument using a propeller and linear analysis for fast tracking wind velocity blown. This method is a modification of the velocity anemometer for fast tracking wind velocity by the propeller's angular velocity (speed of revolution). In the case of velocity anemometer, wind velocity is calculated using the property that wind velocity is in proportion to the propeller's angular velocity. However, wind velocity and angular velocity of the propeller are not in one-one correspondence because wind velocity takes some transitional time for the expected wind velocity to be calculated from angular velocity. To resolve this problem, we propose a method for finding the impulse response of the system which can be considered as a linear system, and for estimating the wind velocity by deconvolving the propeller's angular velocity with the impulse response. To experiment and to prove the validity of the proposed system, we designed a mouthpiece model which consists of a motor, a propeller and an encoder. The result of estimated wind velocity in this method showed that this system is about eightfold faster than the method by the conventional velocity anemometer.

• Clinical Endoscopy
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• v.55 no.1
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• pp.160-162
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• 2022

• Korean journal of communication and information
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• v.52
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• pp.135-153
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• 2010

Dong-a Ilbo tried to assume leadership of opinion in preceding the movement against the trusteeship as a mouthpiece for the Han-Min Party. Dong-a Ilbo was to try to promote the atmosphere of anti-trusteeship=anti-communism=anti-Soviet Union, distorting the decision of a conference of three foreign affairs ministers in Moscow. It was not an incorrect report, but the false report. As a result, the formula of an anti-trusteeship=anti-Soviet Union=anti-communism=patriotism, and a pro-trusteeship=pro-Soviet Union=pro-Communism=traitor was formed. And the important problems of land reform and pro-Japanese‘ clearance were missing. Historically, political newspapers had appeared in the periods of very important political change. Political newspapers played a role as mouthpiece for political party or group. Dong-a Ilbo was such a political newspaper. It was that Dong-a Ilbo tried to change the social atmosphere in preceding the movement against the trusteeship as a mouthpiece for the Han-Min Party. And history was distorted.

• The Journal of Korean Society for Radiation Therapy
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• v.23 no.1
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• pp.31-39
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• 2011

Purpose: Helical Tomotherapy allows only coplanar beam delivery because it does not allow couch rotation. We investigated a method to introduce non-coplanar beam by tilting a patient's head for Tomotherapy. The aim of this study was to compare intrafractional movement during Tomotherapy between coplanar and non-coplanar patient's setup. Materials and Methods: Helical Tomotherapy was used for treating eight patients with intracranial tumor. The subjects were divided into three groups: one group (coplanar) of 2 patients who lay on S-plate with supine position and wore thermoplastic mask for immobilizing the head, second group (non-coplanar) of 3 patients who lay on S-plate with supine position and whose head was tilted with Variable Axis Baseplate and wore thermoplastic mask, and third group (non-coplanar plus mouthpiece) of 3 patients whose head was tilted and wore a mouthpiece immobilization device and thermoplastic mask. The patients were treated with Tomotherapy after treatment planning with Tomotherapy Planning System. Megavoltage computed tomography (MVCT) was performed before and after treatment, and the intrafractional error was measured with lateral(X), longitudinal(Y), vertical(Z) direction movements and vector ($\sqrt{x^2+y^2+z^2}$) value for assessing overall movement. Results: Intrafractional error was compared among three groups by taking the error of MVCT taken after the treatment. As the correction values (X, Y, Z) between MVCT image taken after treatment and CT-simulation image are close to zero, the patient movement is small. When the mean values of movement of each direction for non-coplanar setup were compared with coplanar setup group, X-axis movement was decreased by 13%, but Y-axis and Z-axis movement were increased by 109% and 88%, respectively. Movements of Y-axis and Z-axis with non-coplanar setup were relatively greater than that of X-axis since a tilted head tended to slip down. The mean of X-axis movement of the group who used a mouthpiece was greater by 9.4% than the group who did not use, but the mean of Y-axis movement was lower by at least 64%, and the mean of Z-axis was lower by at least 67%, and the mean of Z-axis was lower by at least 67%, and the vector was lower by at least 59% with the use of a mouthpiece. Among these 8 patients, one patient whose tumor was located on left frontal lobe and left basal ganglia received reduced radiation dose of 38% in right eye, 23% in left eye, 30% in optic chiasm, 27% in brain stem, and 8% in normal brain with non-coplanar method. Conclusion: Tomotherapy only allows coplanar delivery of IMRT treatment. To complement this shortcoming, Tomotherapy can be used with non-coplanar method by artificially tilting the patient's head and using an oral immobilization instrument to minimize the movement of patient, when intracranial tumor locates near critical organs or has to be treated with high dose radiation.

• Therapeutic Science for Rehabilitation
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• v.11 no.4
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• pp.55-68
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• 2022

Objective : This review aimed to provide information for clinical application by confirming the principles and characteristics of the tool through a review of tongue movement and measurement tools for patients with swallowing disorders. Results : We identified 15 tools used as tongue exercises and measurement tools in the field of dysphagia. According to principle, the tools were classified as either a bulb sensor, resistive sensor sheet, mouthpiece with sensor, or other techniques. The bulb sensor was easy to use but had limitations in fixing the position when measuring tongue pressure. The resistive sensor sheet could be measured at a more stable position than the bulb sensor. A mouthpiece with a sensor could be used in an individual's oral cavity such that the position was fixed when measuring the tongue pressure. Other techniques had the advantage of being wireless and capable of sensing light. Conclusion : Based on this literature review, it is necessary to facilitate the selection of the best tool for quantitative tongue measurement in dysphagia. The review can also be used to develop a Korean tongue movement tool model that can be used in hospitals and community centers.

• Journal of Korean Society for Atmospheric Environment
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• v.18 no.E4
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• pp.181-190
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• 2002

A novel portable device for the direct measurement of alveolar breath carbon monoxide (CO) was developed. The major components of the device include a mouthpiece, non-rebreathing two-way valve, Teflon tube, and CO dosimeter. An alveolar CO measurement can be completed within 1.5 min when using the proposed device and measurement protocol. Measurements could be read to the nearest 0.1 ppm. Humidity did not influence the CO measurements taken by the CO dosimeter, plus there were no problems associated with the recovery and carryover of CO through the device. The criterion for significance in statistical analyses was p< 0.05. The average recovery was 103 and 99% for recovery and carryover experiments, respectively. Test results using the proposed alveolar CO measurement system reflected a good reproducibility. This reproducibility was also supported by the finding that the relative standard deviations (RSDs) of the data sets were less than 7％ for the loss experiment and less than 8% for the carryover experiment. Consequently, it would appear that the proposed device can be effectively applied to measure CO levels found in breath, thereby overcoming several disadvantages associated with the conventional bag and adsorbent tube sampling methods.

• The Korean Journal of Health Service Management
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• v.14 no.1
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• pp.67-78
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• 2020

Objectives: Using data from the 1styear of the 7th National Health and Nutrition Survey, this study administered a questionnaire to patients with oral damage and examined the type of medical care used based on the nature of the injury, further characterized by age group and sex. Methods: Of the 8,150 respondents, this study selected those who participated in the health survey and oral exam survey, excluding surveys with missing values, and set 7,681 people as the research participants. This study used SPSS Windows version 23.0(SPSS Inc. IL, USA) as the statistics program and applied the chi-square test (p) based on a complex sample and logistic regression analysis. Results: In the analysis of the type of tooth damage, there was a significant difference (p<.001) in the number of male patients who were injured due to exercise, violence, and safety accidents compared to females. However, there was no significant difference in their type of medical security and whether or not they visited a dental clinic. The patients with private insurance showed relatively high use for tooth extraction and oral surgery (p<.001). Conclusions: The best way to prevent tooth damage is to prevent the accident. For sports or exercises which may cause tooth damage, protective gear, such as a mouthpiece, should be used to prevent tooth damage.

• Journal of Drive and Control
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• v.18 no.4
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• pp.72-76
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• 2021

The aim of this study was to establish a breathing assist system for saxophone players with breathing problems. Although the saxophone is a popular wind instrument with a reed in its mouthpiece, it can be difficult for people with breathing problems to play this instrument, as it requires adequate breath support for deep and even long breaths. To solve this problem, the authors propose a breathing assist device, which functions like a pneumatic master-slave amplifier, for saxophone players with breathing problems. First, the proposed device is fabricated. Second, the effectiveness of the breathing assist device as a master-slave amplifier is confirmed through experiments. Third, the dynamic characteristics of the device are tested up to 10 Hz, and they demonstrate that the device responds well for up to approximately 5 Hz.